1114031234

1114031234 was paid $124K by Medicaid between Jan 2018 and Jun 2018, across 27 billing codes. Its largest line is E0466, Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) — 25% of everything it billed.

33Billing provider info1114031234

33aNPI1114031234

33bProvider type—

28Total paid$124K

24GClaims5,649

24DCodes billed27

24AFirst – last monthJan 2018 – Jun 2018

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	5,649	$124K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
E0466	Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)	25%	186	123	$31K
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	23%	1,579	997	$29K
E0465	Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)	15%	53	37	$18K
E0439	Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing	9.8%	160	136	$12K
A7526	Tracheostomy tube collar/holder, each	4.5%	116	75	$6K
A4624	Tracheal suction catheter, any type other than closed system, each	3.6%	114	83	$4K
K0738	Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing	2.5%	606	367	$3K
E0601	Continuous positive airway pressure (cpap) device	2.0%	326	221	$2K
A7030	Full face mask used with positive airway pressure device, each	1.9%	135	75	$2K
A7507	Filter holder and integrated filter without adhesive, for use in a tracheostoma heat and moisture exchange system, each	1.8%	50	25	$2K
A7034	Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap	1.7%	191	103	$2K
E0434	Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing	1.6%	251	190	$2K

15 more codes

A7000	Canister, disposable, used with suction pump, each	1.2%	148	$1K
A7031	Face mask interface, replacement for full face mask, each	1.1%	103	$1K
E0600	Respiratory suction pump, home model, portable or stationary, electric	1.0%	53	$1K
E0431	Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing	<1%	206	$909.62
A7038	Filter, disposable, used with positive airway pressure device	<1%	355	$785.44
A7035	Headgear used with positive airway pressure device	<1%	222	$749.85
A7037	Tubing used with positive airway pressure device	<1%	257	$729.38
A7520	Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each	<1%	18	$696.08
A7046	Water chamber for humidifier, used with positive airway pressure device, replacement, each	<1%	139	$625.35
E1392	Portable oxygen concentrator, rental	<1%	134	$322.76
A4604	Tubing with integrated heating element for use with positive airway pressure device	<1%	34	$296.63
A7003	Administration set, with small volume nonfiltered pneumatic nebulizer, disposable	<1%	49	$154.24
E0562	Humidifier, heated, used with positive airway pressure device	<1%	50	$150.05
A7525	Tracheostomy mask, each	<1%	93	$114.83
A7039	Filter, non disposable, used with positive airway pressure device	<1%	21	$35.83

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.